Organization Active NPI

Grupo Medico Dra Ana Otero Cruz LLC

  • General Practice Physician
  • Barceloneta, PR
National Provider Identifier
1619694528
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GRUPO MEDICO DRA ANA OTERO CRUZ LLC
Practice address
Carr.#2 KM 57.9 Cruce Davila
Barceloneta, PR 00617
Phone
(787) 846-3611
NPI assigned
Oct 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ana Otero Cruz, MD
Title
President
Phone
(787) 647-9932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

Carr.#2 KM 57.9 Cruce Davila
Barceloneta, PR 00617

Mailing address

PO Box 658
Barceloneta, PR 00617-0658
Phone (787) 647-9932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230106000287 PR Part B Supplier - Clinic/Group Practice 4486024577 Receives reassigned benefits from 2 practitioners
Practice locations: Barceloneta, PR

National Provider Directory

National Provider Directory

Locations

1933 Carr 2
Ste 2
Barceloneta, PR 00617
Phone (787) 846-3611

1933 Carr 2
#579
Barceloneta, PR 00617
Phone (787) 846-3611

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1619694528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006170658",
            "telephone_number": "787-647-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR.#2 KM 57.9 CRUCE DAVILA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-846-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO DRA ANA OTERO CRUZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "OTERO CRUZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-647-9932",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.